이상반응 보고

VAERS ID	1626945
성별	여성
나이	17세
주 코드	FL
제약회사	MODERNA
로트 번호	047A21A
예방접종 횟수	1
접종일	2021-06-09
발병일	2021-06-09
상태	회복

증상

• 부적절한 연령의 환자에게 투여된 제품(Product administered to patient of inappropriate age)

이환 중 질병

지병

Medical History/Concurrent Conditions: Asthma (chronic asthma)

기타 의료

이전 예방접종

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임상 검사

증상 상세

Patient was 17 years old at time of vaccination; This spontaneous case was reported by an other caregiver and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Patient was 17 years old at time of vaccination) in a 17-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no.
047A21A) for COVID-19 vaccination.
The patient's past medical history included Asthma (chronic).
On 09-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form.
On 09-Jun-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Patient was 17 years old at time of vaccination).
On 09-Jun-2021, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Patient was 17 years old at time of vaccination) had resolved.
The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.
Concomitant information use was not reported.
Treatment information was not provided.